Provider Demographics
NPI:1588129597
Name:BUCKETS FULL OF HEALTH
Entity type:Organization
Organization Name:BUCKETS FULL OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:REISHER
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:856-448-3794
Mailing Address - Street 1:210 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2836
Mailing Address - Country:US
Mailing Address - Phone:856-448-3794
Mailing Address - Fax:
Practice Address - Street 1:210 CREEK RD
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2090
Practice Address - Country:US
Practice Address - Phone:856-296-4727
Practice Address - Fax:856-333-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty